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目的:探讨宫腔镜诊治女性不孕症的应用价值。方法:选择2008年10月~2010年9月白银市妇幼保健院收治的女性不孕症患者132例,均在宫腔镜下行输卵管插管通液术,子宫颈管和宫腔内有占位性病变者予以相应手术治疗。观察宫腔镜的检查结果、输卵管通畅率和受孕率。结果:132例不孕症患者宫内异常病变71例,其中子宫内膜息肉20例,子宫纵隔15例,宫腔粘连12例,子宫畸形10例,子宫内膜异位症7例,黏膜下肌瘤5例,宫内异物2例;输卵管不通121条,术后通畅95条,再通率为78.5%;随访12~24个月,平均(18.2±2.2)个月,共受孕60例,受孕率为45.5%。结论:宫腔镜方法简单、安全、经济、不需住院,对宫腔内病变的定性比子宫输卵管碘油造影更为全面和准确,并且可进行相应的治疗,对诊治女性不孕症具有重要的临床价值。
Objective: To explore the value of hysteroscopy in diagnosis and treatment of female infertility. Methods: From October 2008 to September 2010, Baiyin Maternal and Child Health Hospital admitted female infertility patients 132 cases, all underwent hysteroscopic tubal intubation fluid, cervix and uterine cavity occupies Sexually transmitted diseases to be the appropriate surgical treatment. Observe the results of hysteroscopy, tubal patency rate and pregnancy rate. Results: There were 71 cases of intrauterine abnormalities in 132 cases of infertility, including 20 cases of endometrial polyps, 15 cases of uterine mediastinal adhesions, 12 cases of intrauterine adhesions, 10 cases of uterine malformations, 7 cases of endometriosis, Fibroids in 5 cases, intrauterine foreign body in 2 cases; tubal unreasonable 121, postoperative patency 95, the recanalization rate was 78.5%; followed up for 12 to 24 months, an average of (18.2 ± 2.2) months, a total of 60 cases of pregnancy, The pregnancy rate was 45.5%. Conclusion: Hysteroscopy is simple, safe and economical, and does not require hospitalization. It is more comprehensive and accurate for the diagnosis of intrauterine lesions than the hysterosalpingography, and can be treated accordingly. It is important for diagnosis and treatment of female infertility The clinical value.